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Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
IRev. October 20001
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (a0o) 829-7650
230177656 ~ /~, I '
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, n _
there is a lien in favor of the United States on all property and rights to :~' - ~ -
property belonging to this taxpayer for the amount of these taxes, and ~.r' ` =_
additional penalties, interest, and costs that may accrue. _
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Name of Taxpayer ALEXANDER N STACEY t"' `-"
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C-
Residence 318 A 9TH STREET ='
NEW CUMBERLAND, PA 17070-1343 =j n ,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~,~(~ M
unless notice of the lien is refiled by the date given in column lel, this notice shall, t/' ~
on the day following such date, operate as a certificate of release as defined ~ /I
in IRC 63251a1. ~~ ~
Tax Period Date of last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1991 185-60-6807 05/29/1995 06/28/2005 805.88
1040 12/31/1995 185-60-6807 11/18/1996 12/18/2006 7329.23
1040 12/31/1997 185-60-6807 02/21/2000 03/23/2010 1689.30
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH,_PA
Total ~ $
9824.41
the 12th day of July 2001
- s
Signature
for P S LANE.
on this,
Title ,
ACS 23-01-0000
(800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form 668(Y)(t) (Rev. 10-00)
Part 1 -Kept By Rewrding OfBte CAT. NO 60025X
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